D’Jara South
2393 Queensway Dr
Miami Township, OH 45342
Phone: (513)267-8556

Email:

Objective: Seeking an experiencedRNposition in a well established facility to apply my skill set in patient care

Summary of Qualifications:

Considerate and empathetic Mental Health Nurse with more than two years of professional experience in providing age-appropriate care for acute and crisis stabilization as well as planned and implemented professional nursing care for patients in accordance with hospital policies and regulations. Independently performed job functions, executed nursing processes based on expanded knowledge and experience, coordinated and provided safe patient care with an understanding and awareness of age appropriate and culturally aware needs, tolerantly responded to patient messages and queries related to psychotropic medication problems, routine reports, concerns about mood or behavior or other urgent issues that fall within the nursing scope. In addition to that possess considerable knowledge of modern psychiatric nursing theories, principles, practices, procedures as well as problems of mental illness and its treatment theories and techniques.

KEY COMPETENCIES
● Individual counseling / ● Family conferences / ● Medications Administration
● Documentation / ● Functional supervision / ● Development of program policies
● Records maintenance / ● Crisis intervention / ● Mental Health Assessment
Credentials
Registered Nurse
Crisis Intervention

Nursing Skills:

  • Excellence in computer skills; Proficient in electronic and paperwork documentation/record maintenance to ensure accuracy and patient confidentiality.
  • Wound care, application of dressings, Ventilator experience, Intravenous therapy, and maintain records and charts, phlebotomy

Professional Experience:

CareSource, Dayton Ohio

Patient Care Coordinator (2015-2016) Clinical Quality Care Analyst (2016-Present)

  • Review, track and trend QI and grievance issues for all programs and in all states in addition to prep work for Quality Executive Committee (QEC)
  • Maintain reports for QI trends and metrics, as well as prepare reports for Delegation Oversight
  • Ensure all clinical quality issues are resolved within specified timeframes as indicated by the states served and programs therein, CMS and all accrediting entities
  • Perform reviews, tracking and trending of Potential Member Risk (PMR) cases, referring appropriate cases to Fraud & Abuse and preparing reports for presentation to senior management
  • Review and maintain compliance of Quality Improvement policies with NCQA standards
  • Maintain case files for all Quality of Care (QOC) issues
  • Assist management with annual Encounter Data Validation (EDV) studies
  • Request medical records, review documentation and assign a severity level to each Quality of Care case or forward to appropriate medical/dental/specialty reviewer
  • Maintain SharePoint database of QOC cases
  • Appropriately refer QOC cases to Fraud & Abuse
  • Act as liaison with the Case Management and Behavioral Health
  • Develop materials and provide education on the reporting of Quality of Care Grievances and Sentinel Events to other appropriate departments within CareSource
  • Function as a resource for educating and resolving questions related to documentation requirements for QOC issues
  • Assist the Provider Relations staff with corrective action plans (CAPs) for affected providers
  • Review QOC cases, as needed, with the Medical Director/Chief Medical Officer (CMO) and carry out actions as indicated by the CMO
  • Maintain accurate individual Excel spreadsheet, showing the status of each open QOC case
  • Track and monitor provider QI issues for monthly reporting of provider re-credentialing to Network Operations
  • Perform External Quality Review (EQR) record retrieval, research record and review
  • Conduct performance improvement studies for various areas
  • Assist in the development of work plans and measurement strategies including those of other departments

State of Ohio (Summit Behavioral Healthcare), Cincinnati, Ohio

Psychiatric ChargeNurse(RN)/Nurse Coordinator October 2012-April 2015

•Assess & evaluate patient nursing & medical needs based on established nursing standards of care per population (e.g. adult, acute, intermediate, gerio-psych, forensic, MI/MR, SAMI

•Administered oral and injectable medications and oversaw the dispensing of oral and topical medications and treatments

• Kept accurate written records of patients care provided including nursing assessments,

Treatment plans, progress notes, medications administered and discharge planning

• Educated patients and their family members about the patient’s illness, including medications and daily living skills

• Observed and assessed changes and trends in physical or mental condition of the patient as well as planned and implemented therapeutic interventions and evaluated response to such interventions

•Conducted and evaluated classes and psycho-educational groups for patients, nursing or therapy staff

•Uses Patient Care System to formulate Nursing Care Plan (NCP) to include goals & interventions unique to each patient, directs implementation & evaluates NCP effectiveness, revises as objectives are met &/or plan becomes ineffective

CareStar, Columbus, Ohio
Independent Provider/Case Manager (LPN), May 2009- February 2012 (RN) February 2012-July 2012

  • Coordinated with doctors for implementing treatment plans
  • Skilled at providing continuous care to patients in critical condition in home care setting
  • Instruct patients regarding medications, preventive care and health management
  • Report to the respective physicians regarding the patient's condition and matters of concern promptly
  • Act as a liaison between physicians and patients to resolve any issues/problems
  • Responsible for reporting and charting procedures of patients & updating patient data

East Galbraith Health Care Center, Cincinnati, Ohio
Licensed Practical Nurse , Apr 2008 - June 2009

  • Administered Narcotics and assumed full responsibility for possession of keys
  • Assist staff nurses with daily admissions and assessments
  • Responsible for the care 30 geriatric patients and delegated duties to 4 nurse aidesdaily
  • Educate patients regarding medications, disease state management and health management
  • Administered daily treatments and medications

Education

Bachelor’s of Science in Nursing, Ohio University (March 2012-May 2015)

Associate of Science in Nursing, Galen College of Nursing, Cincinnati Ohio (October 2011)

Licensed Practical Nursing, Butler Tech, Fairfield Township Ohio (March 2008)